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1043506850
DAT LE
LAFAYETTE, LA
NPI
1043506850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 018671)
Enumeration Date
2011-06-21
Last Update Date
2011-06-21
Business Address
-- DAT LE
4313 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6703
Phone number: 337-981-9673
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Mailing Address
-- DAT LE
4313 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6703
Phone number:
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